Last Updated: 12/24/2024 7:08:15 PM
Facility DetailCorporation / Company Owner Name | PONCA CITY HOME CARE SERVICES, INC. |
Business (DBA) Name | AT HOME MEDICAL OF PONCA CITY |
License Number | 6-S-1172 |
Facility Type | Medical Gas Supplier |
Address |
1209 E PROSPECT |
City, State, Zip | PONCA CITY,OK 74601-1746 |
Country | |
Issue Date | 03/24/2006 |
Renewed Date | 03/23/2011 |
Expiration Date | 03/31/2012 |
Renewal Month | |
End Date | 10/07/2011 |
Status | CLOSED |
In Process? | |
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